| NPI | 1881072973 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.17703)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH RN.343359)  | 
| Enumeration Date | 2015-05-11 | 
| Last Update Date | 2016-09-29 |